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Home My WebLink AboutPermit Building 1993-10-22 , '. RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Ollice: 726':l759 LOC/,nON OF PROPOSED WORK: ASSESSOR:> MAP: LOT: . SPRINGFIELD I., II:J BLOCK' OWNER .__ ~i:L~~("-0OJV\...-..O"" T~N ADDRESS. ~?9-"") 1;1flOtc;.HV .Jri-.. 8",. CITY____ :::.~~.;...!..~eJ)L- STATE: __QR $.r:-R , DESCRIBE WORK: I.JEW ___ _ REMODEC __.____ ADDITION DEMOLISH _____ OTHER ~- \ . C130b'7() JOB NUMBER 225 Fifth Street 3pingfield. Oregon 97477 TI\X LOT' On ~()t'"\ SUBDIVISION: PHONE: "/ Lflo - Ilf-fo I ZIP:_qJLfJ~ CON rn/,CT')R'[.~ NMotlE Owne.e... ADDR~SS D , ~__ ._-<- _.... r__ Mn GE~JER,\L: .~lJ~.~~.....L.")~J..~.!~- CON ST. CONTRACTOR P $- EXPI RES PHONE To rcque~1 an inspectton, you must call 726-3769. This Is a 24 hour r~c()rdina. All inspections requested b~fore 7:00 a.m. will be mad(: HIe same working day, inspections requested after 7:00 a.r,i, will be made the following ,..Jork day. - . , REQUiRED INSPECTIONS , . , . )ZlROU9h' Mechanical ,.=-'-~Priol to , . \~ cover. .. . PLU~,1BING: rAECH/,NIC~L: ELECTRICAL: OUAOAf1E,\;3~" :~;(B~~~:p_ ___.J~. -3:tM_ , OF SlOR,ES -j. r WATEr< HEArER: ____ f " ~ Tcmpornry Electric Cl Site Inspection - To be made aftt~r i~x<.:avalion. tllJI pdor 10 s':ttiJ',g IC.rnl:i. ~ U~derSla~!Umbi_~eClrical ..,i":.--~chanic~ l-'r1(\1 0 cover. "f:::7f Footing - Afler trenches arc ~ excavated. '"K7T Masonry - Steel location, bond ~ ~J~':;;~~ ~ Foundation - Aftef forms are ~ crcckej lJut prior \0 concrete placell1ent. o Undcr'ground Plumbing - Prior 10 filling trench. o Underlloor Plumbing/Mechanical _ PrIor to insulation or decking. r-I POI:l and Ocam - Prior 10 fl()or '--I inSlJ!;tlic}n or decking. 1v1 Floo~ ln~ul"tion - Prior to ~deCklf1g. I'V'( Sanit:try SC\\'cr - Prior to filling Y~trcn(;!l. M~torn,l Sower - rrior to filling ~.rcncn. ~ Water Line - Prior 10 filliny !rt:~f1cn. 'fV1' J;to. ufrh-Plumhing .....:.. Prior te. ~C\l'l(}1 - OFFICE USE - LAND USE: ..JlLL_- . OF UNITS: ,____ CONSTR. TYPE: -iL./J). HEAT SOURCE: _ r-~__- RANGE: ~ ~ .. :......... - ~F1.ough Electricn! - Prio'( to ~cover. I'Vf Electrical Service - Must be ~appr')Vcd to obtain permanent electrical power. ~ Firp.:J:;Jce - Prior iO fa::ing materi;::.ls.'lnd flaming 1:1Sp. AT TI'1KCAT J.6'eL,. ~~ralnil"!g - prior to cover. "'f':71 Wall' Ceiling Insulation - PrIor to ~..:ovcr. l5<J Drywall - Prior to t3111.ng. o Wood Stove - After in~tallatioll. :llnscrt - Aft~r fiiCp:R~e ilp:)fOVal l_J ar:d installatlon ot l:r,t1. [] '::urhcut Fv Approach -~ l\!tcr IOPlIs arc erecled b:..d plior to :l13.ctJrnenl of (;..)ncrE:t,:. [] Sidcwa!:< & Drivew.1Y - AftN ~xcavati()n Is comp!~\o~. i.LJlmS ar.d sub-base matc.>ri~j in. place. o Fen~e - When COJniJ:e:!CCJ. .,.... '.. ~ . C.l Stroct Trc~s...- Wh9f1 ~I!i requlrl1cl l~ee~ me olant:;rj. ..' "'-,_ FLOOD PLAIN: c ZONING CODE:,l lJiL, . OF BDRMS: ~ ~ ;,2-~.f rr S~CONDARY HEAT: _L- l.<..l S '\ ' .~ , ';;UARE FOOTAGE: ;;>&110 ~ .~- . rvr Final Plumbing - When aI' ~ plumbing worl( is complete. 1X7l Finnl Electrical - When all ~ electrical work is complete. ;;:71 Final Mechanical - When all ~ mechanical work is complete. ~ Final Building - When all ~reQuired inspections have been approved and building is completed. ~Other -;..-...:-.........A-lG_/~~-'V ,HM ~/A)...b}'i'Pl~ tu~. MOBILE HOME INSPECTIONS O Blocking and Set-Up - When 0.11 - l:IQck:flU is. complete. [J P:u!l1l>ino Connections - Wilen -. home h~s been connected to ""Ja!er ane sewer, I. --j Elcctr:ca! Cunncction - When L_ bloc~.<;ir.O. set-up. and plumbing insp(!c:tions have been approved . tl:ld th~ hemo i::; connected to the service pc3.ncl. ' f--' L_.-l ri!!~li - Afwr :Ill IcqlJirej in~;pr:Gtions .i.re appro'J(:d :lnd oor::llos, skirting, <.!ec\{s, .3nd venting have been installed, , , Lot facos ..6.... L0t Typo. . Setbacks , 'THE PROPOSED WORK IN THE lot sq. ftg. ~ ~erior I PL. HSE GAR I ACe I HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER? Z~ 2- Lot ".QVe..1ge Corner Is I If ,/0'.3, this application must bo signed Z$o 12I.~ 3nd approved by tho Historical Topography Panhandle !v; I Coordinator prior to permit issuance. , Z~ Total height za,fs. 7 Cul.uta-SRC IE ItR I APPROVED: /3.&>92.'1 EL&2S zc:; 3,(. .9/'.2 ~ SYSTEMS DEVELOPMENT CHARGE (:3DC) .JL 'l./ (B) ff If!?,t:j - BUILDING PERMIT ITEM SO. FT. X $/SO. FT. , 6(?~~ I L.4 . II) Main dm3.- <;<">lL Gc:.rage Carport . , Total ~arue Building Permit Fcc. , ~State. Surcharge Total Fp.Q (A) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' .3 Sanitary Sewer FT. 1401 Water FT. --- Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' 5 .....-Wood Sj9we/lnsert/Flreplace Unit - Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (Q) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut It Demolition l,~A~~r ~/A:A.L~F'l. } kOJt(fTo Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) VALUE 2...d.3~ J 7+-- 1';;).<5'-/9 FEE j 9Z..~O --Ld'J.8<> ~'5? ,'50 /2-"/;'3 . 21;;5./3 " ()t:> (L? 4S"0 /5.tJO /c;.~o 3..00. d::3f'O /0.00 '2.( ~ Sc;.~.!... /7"'~ .J!.LZ:3.~ L7di!} 44~3/ BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the 3aid construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield. including the Develcpmcnl Code, reg1tlating the construction and USQ of buildings, and may be t;uspended or revoked ~I any timo upon violation of any provisions of said ordinances. Plan Check Fee: '2.':;)~.~ ""3, '5 - 11l -'1 3 3~S?<P ;:;t( ..a'P.!" u . .ID.2-~) 7)#6 ~ Date Paid: Receipt Number: _ RecOiv~ ~",^-,_6J.!?L_ Plan Reviewed By - /~1rp3- Systems Development Charge is due 0" all undeveloped properties within the City limits which am being improved. ADDITIONAL COMMENTS ~np}(. \)1 L)~~JB ,9v+T'..'~\ \n:-f,> } pA7JI ;l ~"".,~ ~~~ ~~ /3 A?~ By signat~He,1 state and agree, that I have carefully ex.lminod the completed application and dO hereby certify llinl all Information hereon is true and correct, and I further certify that any and ali work performed shall be done in accordance . wit~ t~e Ordinances of the City of Springfield. and the Laws of ttie"State' of Ore9on per!aining to the work doscd,bed herein,. and that NO 6CCUPA,NCY wilt be maqc ~l any structure wittlOul permission of "the Building Safety Division. I further certify that only contractors and ernploy(ws who are In c..:;r.lpliance with ORS 701.055 VIlli be used on this project. I further agree to ensure that all required inspt:ction~ are requested at the proper time, that cach addrcss is ft:acJ:ible from the street, that the p5{mit card Is located at the ffont of the property, and ~roved set of plans will remain on the site at <:it os Gur: 9 construction. . . Ufe --.. /a-~- 9'5' Date VALIDATION: I()/ 1_(;).,. RECEIPT NUMBE~__ U2.1.U ./ DATE PAID I LJ..QB, .q~ \ AMOUNT C1C:CEt:~_~~t~ :!J RECEIVED BY ~J j\DC\..J _n ., . . . JOB NO.. q~o"qo CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: '5Af{tbAi!.1] ~f<1VI1EN T6;?.. LOCATION: 5,-!OQ 'IVy sr.. l'bO?-t'J'-/-OO - OO?OO DEVELOPMENT TYPE: LDf2- - NISW $p.;e LOT SIZE. SQ. Ft. BUILDING SIZE: 1. STORM DRAINAGE IMPERVIOUS SQ. FT. N. A. ' X $0.192 PER SQ. FT. "boG", Ne.,. "DJZ.A-1N ..!b c,TY SYSTeM c; -0- ') ....... ........- 2. SANITARY SEWER-CITY ((;01+0;:; ------- NO. OF PFU'S (See Reverse) 1.-7 X $39.78 PER PFU 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP 1 X 1.006 X $401.05 Gtia3D0. --- ---- x X $401.05 X $401. 05 $ X $ SUBTOTAL (ADD ITEMS 1,2, & 3) $ 1'-117 'J; 4. ADMINISTRATIVE FEES ~1-;~) ------- TOTAL -C ITY SDC $ /550'.!. BASE CHARGE (SUBTOTAL ABOVE) X .05 5. SANIT)\IfY'SEWER-MWMC..,. ,'. NO. OF PFU'S "27 x $13.62 PER PFU + $10 MWMC ADMIN. (Use PFU Total From Item 2 Above) '. ," FEE $ ?77'?:!.. , MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~,,~ TOTAL-MWMC SDC0""8e.~ TOTAL SDC L/'b~"~ ~ r3.-. /I.',~ if Kip Burdick SDC Coordinator ,,/I; /11, -c-. \ FIXTURE UNIT CALCULATltN TABLE: Number of New Fixtures X _ Equivalent = Fixture Units (N~TE: For remodels. calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT UNITS ;. 2 1 2 3 'f;)' ....'.; 2 6 6 1 3 2 l/Head 2 .,2 ~,', ....1. .. 6 4 Balhtub.......... ............ .................. ............ ...... ...... ...... D rinking Fountain... ......................................... ......... Floor Drain................................................................ . ';', \ ,,' '. ;~\' \. f\ ,'.' Interceptors For Grease/OiI/Solids/Etc:.,.............. Interceptors For Sand/Auto Wash/Etc.................: . ~. . - . Laund ry Tub /Clotheswasher... ........................ ... ..... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator jWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower, Gang.......................................................... Sink, Bar, CommerciaL............................................ Urinal, StalljWall....................................................'..:.' \ '. ~.: ,.' .'. .".: Wash Basin/Lavatory. Single.................................. Water Closet, Public Installation............................. Waler Closet. Private............................................... Miscellaneous: .'. " . - '. \ ,. ,: \ : . \ . " \!' :~. '. .' ,'. -. -,r . - , ., .. ' " . , ,~ 5 !> TOTAL FIXTURE UNITS '- ~ (, 2- 2. ? '-1. 2, CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year , Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 , ~ . $2.83 2.76 2.71 2.60 2.46 2.33 1985 1986 1987 1988 1989 1990 1991 $2.16 1.90 1.60 0.25 0.87 0.50 0.16 Cred~ for Parcel or Land Only If Applicable 2. .~3 X $ 3!. 1>3- (Rate X Assessed Value) X $ I. (Rate X Assessed Value) CREDIT TOTAL fJ'l~ = ,-,. Improvement (if after annexation date) " = $ ~'f ~ ,', RUNOFF COEFFICIENTS .FOR STORM DRAINAGE ."., , , . . '. '-:...... Residential................. ........................... ... ......... 0.4 Commercial...................................................... 0.9 Industrial........ ....... ..... .... ........ ... ...... ...... ....... ..... 0.45 Governmental................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT AI